Wi-Fi Internet Access Application

Billing Data
First Name:    Last Name:
Billing Address:
City:   State:   Zip Code:
Contact Phone:
Service Address:
City:   State:   Zip Code:
Identification
Full Name: Driver's Lic # 
Full Name: Driver's Lic # 
Full Name: Driver's Lic # 
List yourself, and any other associates who should have access to all aspects to this Account, including the ability to change Service Plans, add and delete E-mail addresses, change Passwords, and cancel service.
All RMU Wi-Fi Home Internet Access Accounts include the following:
  • Local Support - no waiting days for the big companies to respond
  • "Always On" Internet Access
  • Includes 5 Rochelle.net e-mail accounts
  • Connections may be shared by several computers
  • Totally mobile - take it anywhere in the City of Rochelle
  • Speeds up to 3 Mb!
Primary Log-In and E-mail Account
E-Mail names and passwords must be 6 to 8 letters and/or numbers long
(all small letters and no spaces)
. The name must start with a letter.
Primary Log-in/Email:  Password: 
Additional E-mail Accounts
Second Log-in/Email:
Password: 
Third Log-in/Email:
Password: 
Fourth Log-in/Email:
Password: 
Fifth Log-in/Email:
Password: 

Additional Services

I would like more information regarding one or more of the following additional services. Please contact me at the number listed on this form. NOTE: Rochelle.Net strongly recommends the use of a firewall with any type of Internet connection.
Firewall      Router      Home Network      Unlimited Dial-Up Account $4.95 per month
Other 

Subscriber Agreement
I have read and agree to the RMU Subscriber Agreement referenced above.
Signature:    Date:    (MM/DD/YYYY)
Desired Start Date:  (MM/DD/YYYY)
 

© 2006 Rochelle Municipal Utilities. All rights reserved  
333 Lincoln Highway., Rochelle, IL 61068  
Phone: (815) 562-4155, Fax: (815)562-5861